Individual provider Active NPI

Rebecca A Swonson, NP

  • Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1699034959
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
241 Issued in MN
Practice address
219 E Main St
Missoula, MT 59802-4423
Phone
(406) 728-5490
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R181803-9 MN
Family Nurse Practitioner 363LF0000X 103167 MT
Nurse Practitioner 363L00000X 241 MN Primary

Addresses

Primary practice location

219 E Main St
Missoula, MT 59802-4423

Mailing address

219 E Main St
Missoula, MT 59802-4493
Phone (406) 728-5490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518000267 MT Practitioner - Nurse Practitioner 4183874795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Planned Parenthood IncGroup PAC ID 1850294570, 6 clinicians

Practice addresses (Care Compare)

219 E Main St
Missoula, MT 59802-4423
Phone (406) 728-5490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R181803-9MNMDNurse Practitioner
103167MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Planned Parenthood Inc Nurse Practitioner CurrentSince Mar 1, 2019 Accepting new patients
Intermountain Planned Parenthood PastSince Jun 15, 2021 Accepting new patients

Locations

1844 Broadwater Ave
Ste 4
Billings, MT 59102
Phone (406) 656-9980

1116 Grand Ave
Ste 201
Billings, MT 59102

1643 Lewis Ave
Ste 211
Billings, MT 59102

211 9th St S
Great Falls, MT 59405
Phone (406) 454-3431

1500 Cannon St
Helena, MT 59601
Phone (406) 248-3637

219 E Main St
Missoula, MT 59802
Phone (406) 303-3485

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1699034959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024493",
            "telephone_number": "406-728-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024423",
            "telephone_number": "406-728-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWONSON",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R181803-9",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "103167",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.